2019-11-15T13:11:16-06:00 2018-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-01-01 223452412 MONMOUTH MEDICAL CENTER % CATHERINE DOWDY CPA MONM 9733224032 300 SECOND AVENUE LONG BRANCH NJ 07740 CATHERINE A DOWDY SVP FINANCE 7329238929 2019-11-11 true Scott J Mariani P00642486 9738989494 65.124.179.218 22006220193195000257 2019-11-15 P 0E7AA6D09474FC827FC900BEE833A570B2ABBB6B BC1463C2C33C0789E044F59BFBDC14725F3736CE 2018 2020-03-31 21:24:44Z WILLIAM S ARNOLD 300 SECOND AVENUE LONG BRANCH NJ 07740 543789021 false X WWW.RWJBH.ORG X 1996 NJ TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE, TO EDUCATE HEALTHCARE PROVIDERS & TO PROVIDE CONTINUUM OF REGIONAL TERTIARY CARE. 41 38 3634 629 0 88876 8766315 7477221 511708926 530243212 190794 3243628 1605394 1483972 522271429 542448033 191306 392893 0 0 198437037 208082238 0 0 0 262791568 279345333 461419911 487820464 60851518 54627569 672102238 770048613 267465247 299645395 404636991 470403218 X TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE. TO EDUCATE PRESENT AND FUTURE GENERATIONS OF HEALTHCARE PROVIDERS. TO PROVIDE A CONTINUUM OF REGIONAL TERTIARY CARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 71066799 0 74643695 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ONCOLOGY SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION PERFORMED 13,320 ONCOLOGY SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 52122712 0 39907028 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PSYCHIATRY SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION TREATED 17,658 PSYCHIATRIC SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 47625433 0 48930840 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION PERFORMED 7,984 OBSTETRICS SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 268262762 392893 366761649 439077706 true true false true false false false false false true true false true true true true false true false false true false false false false false true true true false true false false false false false false true true false false false false false true true true false false true 1467 0 true 3634 true false false false false false false false false false false false true false X 41 38 true false false true true true true true true false false true true true true true true true true true true NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X ROBERT P HERRMANN CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 RAYMOND F SHEA JR ESQ VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 ANN UNTERBERG VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 FRANK CIESLA ESQ SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN W HEAVEY TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 ANTHONY P TERRACCIANO TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JAMES G AARON ESQ TRUSTEE 1.0 0.0 X 0 0 0 GEORGE CONWAY TRUSTEE 1.0 0.0 X 0 0 0 ALAN E DAVIS ESQ TRUSTEE 1.0 0.0 X 0 0 0 ANNE EVANS-ESTABROOK TRUSTEE 1.0 0.0 X 0 0 0 VICTOR FERLISE ESQ TRUSTEE 1.0 0.0 X 0 0 0 SEAN GERTNER TRUSTEE 1.0 0.0 X 0 0 0 BENJAMIN R HARVEY III TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA HOWARD TRUSTEE 1.0 0.0 X 0 0 0 CLAIRE M KNOPF TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 HEYWOOD H KNOPF TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL KOKES TRUSTEE 1.0 0.0 X 0 0 0 RABBI AARON KOTLER TRUSTEE 1.0 0.0 X 0 0 0 BRUCE KRAMER TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH F LAGROTTERIA ESQ TRUSTEE 1.0 0.0 X 0 0 0 GEORGE LAUFENBERG TRUSTEE 1.0 0.0 X 0 0 0 JUDGE LAWRENCE LAWSON TRUSTEE 1.0 0.0 X 0 0 0 JEFFREY LEDERMAN DO TRUSTEE; EX-OFFICIO 25.0 0.0 X 0 92885 0 JAMES R MAIDA TRUSTEE 1.0 0.0 X 0 0 0 GERALD C MARRONE TRUSTEE 1.0 0.0 X 0 0 0 ANDREW J MELNICK TRUSTEE 1.0 0.0 X 0 0 0 VALERIE MONTECALVO TRUSTEE 1.0 0.0 X 0 0 0 MARY ANNE NAGY TRUSTEE 1.0 0.0 X 0 0 0 VITO R NARDELLI ESQ TRUSTEE 1.0 0.0 X 0 0 0 KIRITKUMAR PANDYA MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 ROBERT PATTON TRUSTEE 1.0 0.0 X 0 0 0 ADAM PFEFFER ESQ TRUSTEE 1.0 0.0 X 0 0 0 RONALD J RICCIO ESQ TRUSTEE 1.0 0.0 X 0 0 0 LOUIS A RODRIGUEZ PE TRUSTEE 1.0 0.0 X 0 0 0 ANDREW SAFRAN TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA SENSI TRUSTEE 1.0 0.0 X 0 0 0 DARSIT SHAH MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 DAVID SICKEL TRUSTEE 1.0 0.0 X 0 0 0 ROBERT SICKEL TRUSTEE 1.0 0.0 X 0 0 0 ANDREW SUN MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 BETTE UHRMACHER ESQ TRUSTEE 1.0 0.0 X 0 0 0 ROBERT BUTTERS TRUSTEE (TERM 6/1/18) 1.0 0.0 X 0 0 0 PETER L CARTON ESQ TRUSTEE (TERM 5/1/18) 1.0 0.0 X 0 0 0 GREGORY M FROMKIN TRUSTEE (TERM 5/1/18) 1.0 0.0 X 0 0 0 KAREN M SICILIANO TRUSTEE (TERM 5/1/18) 1.0 0.0 X 0 0 0 FRED VAN LOOY TRUSTEE (TERM 5/17/18) 1.0 0.0 X 0 0 0 WILLIAM S ARNOLD CEO 55.0 0.0 X 848400 0 184580 ERIC W CARNEY COO MMC 55.0 0.0 X 496330 0 121643 JOANNA P ZIMMERMAN CFO 55.0 0.0 X 479382 0 73853 JUDY CASTELLANO COLORADO COO/CNO MMCSC 55.0 0.0 X 283687 0 38889 DEANNA SPERLING RWJBH BEHAVIORAL HEALTH CEO 55.0 0.0 X 0 490481 150244 JOSEPH JAEGER DRPH CHIEF ACADEMIC OFFICER 55.0 0.0 X 306872 0 45447 FRANK J VOZOS MD FACS EXECUTIVE VICE PRESIDENT 55.0 0.0 X 1171877 0 219896 RAJESH MOHAN MD CHIEF MEDICAL OFFICER 55.0 0.0 X 409265 0 8368 DIANN JOHNSTON VP PATIENT CARE SVCS/CNO MMC 55.0 0.0 X 390901 0 17663 RICHARD B KIERNAN VP, CHIEF HR OFFICER-MMC 55.0 0.0 X 322669 0 36229 JONATHAN P TANGO VP OPERATIONS - MMCSC 55.0 0.0 X 243434 0 42733 MICHAEL S PERDONI VP OPERATIONS - MMC 55.0 0.0 X 210640 0 31440 THOMAS HELEOTIS MD VPMA - MMC 55.0 0.0 X 602984 0 120712 PHILLIP G PASSES VICE PRESIDENT 50.0 0.0 X 360185 0 31391 SHIRLEY HWANG VICE PRESIDENT 50.0 0.0 X 313119 0 34921 TARA FORMICA KELLY VICE PRESIDENT 50.0 0.0 X 254537 0 38792 PATRICIA A MCNAMEE ASST. VP (TERM 12/1/18) 50.0 0.0 X 251997 0 15288 ANDREW HARRISON MD PHYSICIAN 50.0 0.0 X 249864 0 0 MICHAEL MIMOSO FORMER OFFICER 55.0 0.0 X 0 651052 237336 GERALD L TOFANI CPA FORMER OFFICER 50.0 0.0 X 0 536873 30131 MICHELE H SCHWEERS FORMER OFFICER 55.0 0.0 X 0 236683 44386 TODD EUGENE PHILLIPS MD FORMER KEY EMPLOYEE 55.0 0.0 X 0 440415 24932 7196143 2448389 1548874 229 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 53328306 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 5922848 NEW JERSEY LABORIST GROUP LLC 911 SOUTH MAIN STREET BELMAR NJ 07719 MEDICAL 1721500 QUEST DIAGNOSTICS INCORPORATED 500 PLAZA DRIVE SECAUCUS NJ 07094 MEDICAL 1458242 EMERGENCY MEDICAL ASSOCIATES OF NJ 3 CENTURY DRIVE PARSIPPANY NJ 07054 MEDICAL 1280336 52 577626 6899595 7477221 NET PATIENT SERVICE REVENUE 541900 526447715 526447715 OTHER HEALTHCARE RELATED REVENUE 541900 3442462 3442462 MMC & MMC-SC MEDICAL STAFF ACTIVITIES 541900 353035 353035 530243212 2931891 2931891 0 0 1616552 1345746 270806 0 270806 270806 306979 -4758 311737 311737 311737 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 991954 991954 PARKING 812930 221212 221212 1213166 542448033 530243212 4727600 392893 392893 0 0 0 6707894 6037105 670789 0 170705019 153634517 17070502 7837006 7053305 783701 8456566 7610909 845657 14375753 12938177 1437576 59251155 53326039 5925116 10549 9494 1055 0 38802 34922 3880 0 0 21331988 19198789 2133199 0 12594 11334 1260 8701810 7831629 870181 2035480 1831932 203548 0 6011144 5410030 601114 253284 227956 25328 0 126053 113447 12606 7037656 6333890 703766 0 18997183 17097465 1899718 7507081 6756373 750708 MEDICAL SUPPLIES 92354165 83118748 9235417 0 PHYSICIAN FEES AND SALARIES 33915044 30523540 3391504 0 REPAIRS AND MAINTENANCE 6576931 5919238 657693 0 OTHER EXPENSES 14831379 13348242 1483137 0 353035 317732 35303 487820464 439077706 48742758 0 X 8569 9415 0 0 5402296 5762973 48577228 48337092 0 0 0 0 0 0 8677438 10775123 1395597 4368785 486552460 358130404 120825878 128422056 0 0 0 0 34210677 46353794 0 0 453004555 526019375 672102238 770048613 41146443 44248953 0 0 802484 839786 0 0 0 0 0 0 0 192513 0 0 225516320 254364143 267465247 299645395 X 373768991 430388218 23199000 32346000 7669000 7669000 404636991 470403218 672102238 770048613 X 54627569 11138658 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 38802 38802 false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ALLIANCE OF NEW JERSEY, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $38,802 IN 2018. 30868000 9147000 40015000 27847000 3021000 30868000 27994000 -147000 27847000 26230000 1764000 27994000 28267000 -2037000 26230000 0.19170 0.80830 false false 2867530 2867530 281563311 213961155 67602156 892975 870524 22451 192291253 140501273 51789980 8937391 2797452 6139939 128422056 LIMITED USE 3616695 F SUBSIDIARIES 1000 F TAX-EXEMPT ORGANIZATION 35375000 F ORGANIZATION 4640000 F INVESTMENT IN JOINT VENTURES 2721099 F 46353794 SECURITY DEPOSITS 86791 OTHER RECEIVABLES 140585 THIRD-PARTY PAYORS, NET 1506121 FQHC RECEIVABLE 498247 DUE FROM AFFILIATES 523388049 ACCOUNTS 376485 OTHER ASSETS 23097 526019375 0 PENSION EXPENSE PAYABLE 150757 OTHER LIABILITIES 20118237 NON-CURRENT 2435699 LIABILITY 221013620 ACCRUED INTEREST EXPENSE 10269345 ACCOUNTS 376485 254364143 X SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017. Central America and the Caribbean Program Services FINANCIAL VEHICLE 0 0 0 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $5,359,856; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true true false false 13539 15624279 1696088 13928191 0.02860 66595 122054784 102840771 19214013 0.03940 3340372 0 3340372 0.00680 80134 141019435 104536859 36482576 0.07480 77779 1734597 2319 1732278 0.00360 16823096 8487535 8335561 0.01710 11217498 1743894 9473604 0.01940 4208388 0 4208388 0.00860 1426941 0 1426941 0.00290 77779 35410520 10233748 25176772 0.05160 157913 176429955 114770607 61659348 0.12640 false 17330468 1733047 133761575 137702172 -3940597 X true true SHREWSBURY DIAG IMAG OUTPATIENT RADIOLOGY SERVICES 0.51 0.49 2 1 MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH NJ 07740 WWW.RWJBH.ORG 11304 X X X X X 2 MONMOUTH MED CTR - SOUTHERN CAMPUS 600 RIVER AVENUE LAKEWOOD NJ 08701 WWW.RWJBH.ORG 11502 X X X MONMOUTH MEDICAL CENTER 12 false false true X X X X X X X X X X 16 true false false true X WWW.RWJBH.ORG X X true 16 false true false true X 200. 500. X X X X X true true X X X true X WWW.RWJBH.ORG X WWW.RWJBH.ORG X WWW.RWJBH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3J The COMMUNITY HEALTH NEEDS assessment ("CHNA") included results from a qualitative survey of service area residents; a comprehensive review of secondary data sources from a County and service area perspective where available; facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates). SCHEDULE H, PART V, SECTION B, QUESTION 5 A comprehensive resident survey was conducted to provide qualitative data for the CHNA. The CHNA was further informed by local health officers and other community stakeholders through a survey of their assessment of the community's health need priorities, barriers and other considerations. The public health officers were provided hospital utilization for their review and assessment of community health needs as part of the collaborative process. In addition, input was derived from the county-wide task force which provided insight and expertise, leading to the identification of county-wide health priorities. Details including the county-wide task force members, community meeting attendees and process are contained in the CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B WHILE MONMOUTH MEDICAL CENTER ("MMC") HAD ITS OWN CHNA, MMC PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT. SCHEDULE H, PART V, SECTION B, QUESTIONs 7A & 7D The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Question 7a, is the home page for the system. The CHNA FOR BOTH OF THE ORGANIZATION'S HOSPITAL FACILITIES can be accessed at the following pages included in the systems website: https://www.rwjbh.org/documents/monmouth-medical-center/RWJbarnabas-CHNA-M MC-1208-2016.pdf https://www.rwjbh.org/images/hospital-locations/monmouth%20Medical%20Cente r%20Southern%20Campus/RWJBarnabas-CHNA-MMCSC-1207-2016.pdf The CHNA was shared with the Monmouth County work group including Public Health Officers of local health departments. SCHEDULE H, PART V, SECTION B, QUESTION 8 The facilitIES, with limited resources, prioritized health needs that were identified and developed an implementation plan to address these priority health need areas. The System and Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable). SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, the facilitIES conducted a comprehensive assessment IN WHICH a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate WITH COMMUNITY PARTNERS. SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16J,18E,19E,20E,21C,21D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16 The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Questions 16a, 16b and 16c, is the home page for the system. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: https://www.rwjbh.org/BILLING/FINANCIAL-RESOURCES/ 6 MONMOUTH MEDICAL CENTER 100 STATE HIGHWAY 36 WEST LONG BRANCH NJ 07764 INFUSION AND LAB BLOOD DRAW MONMOUTH MEDICAL CENTER 310 ROUTE 34 COLTS NECK NJ 07722 MAMMOGRAPHY SCREENING MONMOUTH MEDICAL CENTER 1910 HIGHWAY 35 OAKHURST NJ 07755 LAB SERVICES AND RADIOLOGY SERVICES MONMOUTH MEDICAL CENTER 4013 ROUTE 9 NORTH SUITE 2A HOWELL NJ 07731 MAMMOGRAPHY SCREENING MONMOUTH MEDICAL CENTER 3301 HIGHWAY 66 BLDG B 1ST FLOOR NEPTUNE NJ 07753 EARLY INTERVENTION SUPPORT SERVICES (PSYCHIATRIC) MONMOUTH MEDICAL CENTER - POLLAK CLINIC 75 NORTH BATH AVENUE LONG BRANCH NJ 07740 OUTPATIENT PSYCHIATRIC SERVICES SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE H, PART I; QUESTION 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I; QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THE FACILITY IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A WIDE ARRAY OF ACTIVITIES AND SERVICES, INCLUDING, BUT NOT LIMITED, TO: - SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, - VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, - PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE CAUSES AND TREATMENT OF HEALTH CONCERNS, - THE PROVISION OF EDUCATIONAL MATERIALS AND SPONSORING HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS [PRESENTATIONS ARE OFTEN PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS], - PARTICIPATION IN COMMUNITY HEALTH FAIRS, - SERVING ON THE BOARDS OF MANY LOCAL NOT FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION), AND - PROFESSIONAL EDUCATION. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND OUR RESPONSE TO SCHEDULE H, PART VI, QUESTION 6 SUMMARY OF ALL ENTITIES WHICH COMPRISE RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF-PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(E) AND 2(P) ON PAGES 9 AND 15; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR'S ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017 IS AS FOLLOWS: 2018 2017 -------- -------- (IN THOUSANDS) (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 98,632 $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $233,193 $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,200 $ 4,675 - EDUCATION AND RESEARCH $ 88,758 $ 83,717 - SUBSIDIZED DEPARTMENTS $ 59,762 $ 53,593 - OTHER COMMUNITY BENEFIT $ 10,150 $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $27,981,000 AND $35,412,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2018 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPE SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF the RWJBARNABAS HEALTH ("RWJBH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER/TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD); OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR MMC ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - healthcare service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBarnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The 2017 study used generally accepted physician to population ratios adjusted for local community population to identify gaps in service. These studies inform medical staff development and recruitment needs at the hospitals to assure responsiveness to the specific identified needs of the community and to assure access to physician provider services. MMC reviews patient surveys and comments to understand patient and family concerns. Further, MMC participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. In addition, MMC works with Monmouth County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI; QUESTION 4 MMC is located in Long Branch, Monmouth County. Long Branch is the countys largest city. Monmouth County is the northernmost county on the Jersey shore, and is in close proximity to New York City with the fifth largest total population in the state. Monmouth County is home to immigrant populations of Italian, German and Polish, with a large Irish-American population and a rapidly growing Asian presence. The Long Branch location of MMC has been designated as a MUA/MUP (Medically Underserved Area/Population) by the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services. Between the residents and the summertime shore visitors, MMC serves a diverse patient population with over 30% of its patients comprised of minority/race ethnicity groups and about 42% of patients in underinsured and uninsured payer groups in 2018. Medicare represents an additional 21% of patients served. MMC-SC is located in Lakewood Township, Ocean County. Lakewood has been identified as the fastest-growing town in New Jersey during the past decade (with 54% growth) and is ranked the 7th most populous place in the State according to 2017 estimates. Ocean County is the second largest county in the State in terms of geographic size and statewide, it has the sixth largest total population size. The location of MMC-SC is within a designated Medically Underserved Area/Population (MUA/MUP) by the Health Resources and Service Administration (HRSA) branch of the U.S. Department of Health and Human Services and an Urban Enterprise Zone (UEZ) by the State of New Jersey. Lakewood Township is also one of the hubs of Orthodox Judaism and is home to one of the largest Yeshivas in the world. The large Orthodox population comprises nearly half of the townships population. MMC-SC serves a number of diverse communities in the county, with a proportionally higher mix of elderly and uninsured/underinsured. As a result, in 2018, MMC-SCs patients were comprised of 23% minority populations and nearly 41% of patients are of underinsured/uninsured payor categories. Medicare comprises an additional 47% of patients payer classification. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by MMC improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. MMC provides educational materials, conducts community health fairs and health screenings, and holds health education seminars, wellness events and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. Community building activities undertaken by MMC-SC improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. MMC-SC provides educational materials, conducts community health fairs and health screenings, and holds health education seminars, wellness events and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of the Board of Trustees members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising RWJBarnabas Health. SCHEDULE H, PART VI; QUESTION 6 THE ORGANIZATION IS AN AFFILIATE OF RWJBARNABAS HEALTH ("RWJBH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. RWJBH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. RWJBH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. RWJ BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ BARNABAS HEALTH, INC. OPERATES AS THE PARENT ENTITY OF A MULTI-CORPORATE HEALTHCARE SYSTEM, WHICH INCLUDES ALL OF THE TAX-EXEMPT HOSPITALS OF THE FORMER SEPARATE BARNABAS HEALTH AND THE ROBERT WOOD JOHNSON HEALTH SYSTEMS. IT WAS CREATED TO COORDINATE, SUPERVISE AND ENSURE THE CONTINUATION AND IMPROVEMENT OF THE QUALITY OF HEALTHCARE SERVICES PROVIDED BY ITS QUALIFYING AFFILIATES TO THE COMMUNITY. RWJ BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY WITHIN THE SYSTEM IS EITHER RWJ BARNABAS HEALTH, INC. OR ANOTHER RWJBH AFFILIATE CONTROLLED OR OWNED BY RWJ BARNABAS HEALTH, INC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RWJBH. ACTIVE HOSPITALS INCLUDE CHILDRENS SPECIALIZED HOSPITAL, CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, JERSEY CITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR (SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. IS A BEHAVIORAL HEALTH SPECIALTY HOSPITAL FACILITY AND, ACCORDINGLY, DOES NOT OPERATE AN EMERGENCY ROOM); 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. AFFILIATED RWJBH ENTITIES ARE AS FOLLOWS: CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162-BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A 316-BED REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: MONMOUTH MEDICAL CENTER, A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY AND MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS, A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 251-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION F/K/A MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE LEGACY BARNABAS HEALTH AFFILIATES; PRE ROBERT WOOD JOHNSON HEALTH SYSTEM AFFILIATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RWJ BARNABAS HEALTH, INC. AND THE RWJBARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR RWJBARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LIBERTY HEALTH CARE SYSTEM ("LHCS") WAS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO JERSEY CITY MEDICAL CENTER DURING 2018. THE JERSEY CITY MEDICAL CENTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE JERSEY CITY MEDICAL CENTER. SCHEDULE H, PART VI; QUESTION 6 LIBERTY RIVERSIDE HEALTHCARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATIONS MISSION WAS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY PRIOR TO THE SALE OF THE HOSPITAL AND ITS ASSETS ON DECEMBER 7, 2010. MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS ACTING AS A MEMBER OF VNA HEALTH GROUP OF NEW JERSEY, LLC WHICH PROVIDES MEDICALLY NECESSARY HOME HEALTH AND HOSPICE CARE TO ALL INDIVIDUALS. MONMOUTH MEDICAL CENTER-FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RWJ HEALTH CARE CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO SAINT BARNABAS REALTY DEVELOPMENT CORPORATION DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1) UNTIL ITS STATUTORY MERGER INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RWJBARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF RWJBARNABAS HEALTH. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. UNITED RESCUE AT JERSEY CITY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). VNA HEALTH GROUP OF NEW JERSEY, LLC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE SYSTEM ALSO INCLUDES ADDITIONAL NOT-FOR-PROFIT ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - GREENVILLE HOSPITAL; - IRVINGTON HOSPITAL FOUNDATION, INC.; - LAKEVIEW CHILD CARE CENTER FOUNDATION, INC.; - LIBERTY BEHAVIORAL HEALTH ASSOCIATES; - LIBERTY SURGICAL ASSOCIATES; - NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN; - SOMERSET COMMUNITY CARE CORPORATION; AND - SOMERSET HEALTH CARE AFFILIATES, INC. FOR PROFIT RWJBARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: ACUCARE PHYSICIANS, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CENTRAL JERSEY ACO, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. CENTER STATE MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE RELATED BUSINESS ACTIVITIES. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. CSH VENTURES, INC. IS AN ENTITY WHOSE SOLE MEMBER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. EOS, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. HAMILTON ENDOSCOPY & SURGERY CENTER, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. HEALTH CARE FACILITIES MANAGEMENT, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO RWJBH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE THE RWJBH HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. JERSEY ASC VENTURES, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. KIMBALL HEALTH CARE AFFILIATES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIBERTY HEALTHCARE CAPITAL IS AN ENTITY WHOSE SOLE SHAREHOLDER IS JERSEY CITY MEDICAL CENTER. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO JERSEY CITY MEDICAL CENTER. LIBERTY HEALTHCARE MANAGEMENT, LLC WAS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIVINGSTON INFUSION CARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS BARNABAS HEALTH, INC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE BUSINESS ACTIVITIES. LSC PHARMACY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR RWJBH ENTITIES. SCHEDULE H, PART VI; QUESTION 6 MAJOR SECURITY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO RWJBH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE ENTITY. NEW JERSEY HEALTH, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY BEHAVIORAL HEALTH ASSOCIATES FACULTY PRACTICE PLAN, INC. DURING 2018. NEW JERSEY HEALTHCARE ASSOCIATES IS AN INACTIVE ENTITY. NEW JERSEY IMAGING NETWORK, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS CENTER STATE MANAGEMENT CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, WAS A VERMONT BASED INSURANCE COMPANY UNTIL BEING DISSOLVED DURING 2018. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE ENTITY. RWJ KIDNEY TRANSPLANT ASSOCIATION IS AN INACTIVE ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. R.W.J. MEDICAL ASSOCIATES, P.A., IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY GROUP, P.A. IS AN INACTIVE ENTITY. RWJ PHYSICIAN ENTERPRISE, P.A. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS AN ENTITY, WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO RWJBH. SHC ENTERPRISES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SHREWSBURY DIAGNOSTIC IMAGING, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. IS AN INACTIVE ENTITY. SOMERSET CARDIOLOGY PARTNERS, P.C. IS AN INACTIVE ENTITY. SOMERSET REALTY GROUP, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. VISION HEALTHCARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY CONDUCTS VARIOUS HEALTHCARE BUSINESS ACTIVITIES. WARREN INTERNAL MEDICINE, P.C. IS AN INACTIVE ENTITY. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true AHAVAS TZEDAKAH INC 816 FOREST AVENUE LAKEWOOD NJ 08701 223719783 501(C)(3) 100000 SPONSORSHIP WALL TOWNSHIP PBA LOCAL 234 CIVIC PO BOX 1332 WALL NJ 07719 800783738 501(C)(3) 50000 SPONSORSHIP HABITAT FOR HUMANITY IN MONMOUTH COUNTY 45 SOUTH STREET FREEHOLD NJ 07728 223284309 501(c)(3) 30241 SPONSORSHIP LONG BRANCH COMMUNITY FUND INC 228 BROADWAY PO BOX 628 LONG BRANCH NJ 07740 461259873 501(C)(3) 15000 SPONSORSHIP ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08902 221487243 501(C)(3) 12500 SPONSORSHIP MONMOUTH UNIVERSITY 400 CEDAR AVENUE WEST LONG BRANCH NJ 07764 210634584 501(C)(3) 11500 SPONSORSHIP GREATER LONG BRANCH CHAMBER OF COMMERCE PO BOX 628 LONG BRANCH NJ 07740 210502065 501(C)(3) 11350 SPONSORSHIP LONG BRANCH BOARD OF EDUCATION 540 BROADWAY LONG BRANCH NJ 07740 216000229 501(C)(3) 11350 SPONSORSHIP NEW JERSEY REPERTORY COMPANY 132 WEST END AVENUE LONG BRANCH NJ 07740 223513797 501(C)(3) 10000 SPONSORSHIP CITY OF LONG BRANCH 344 BROADWAY LONG BRANCH NJ 07740 223389797 501(C)(3) 8180 SPONSORSHIP THE VALERIE FUND 2101 millburn avenue maplewood NJ 07040 222126867 501(C)(3) 6000 SPONSORSHIP 11 0 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL and HUMAN RESOURCES DEPARTMENT PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false WILLIAM S ARNOLD CEO 510634 0 316521 0 21245 0 182633 0 1947 0 1032980 0 0 0 ERIC W CARNEY COO MMC 389889 0 98000 0 8441 0 95325 0 26318 0 617973 0 0 0 JOANNA P ZIMMERMAN CFO 399314 0 76200 0 3868 0 50576 0 23277 0 553235 0 0 0 JUDY CASTELLANO COLORADO COO/CNO MMCSC 235922 0 45712 0 2053 0 12265 0 26624 0 322576 0 0 0 DEANNA SPERLING RWJBH BEHAVIORAL HEALTH CEO 0 280760 0 187218 0 22503 0 133125 0 17119 0 640725 0 0 JOSEPH JAEGER DRPH CHIEF ACADEMIC OFFICER 253972 0 49687 0 3213 0 18584 0 26863 0 352319 0 0 0 FRANK J VOZOS MD FACS EXECUTIVE VICE PRESIDENT 596702 0 304037 0 271138 0 202775 0 17121 0 1391773 0 235890 0 RAJESH MOHAN MD CHIEF MEDICAL OFFICER 350000 0 50850 0 8415 0 6707 0 1661 0 417633 0 0 0 DIANN JOHNSTON VP PATIENT CARE SVCS/CNO MMC 299773 0 84000 0 7128 0 15661 0 2002 0 408564 0 0 0 RICHARD B KIERNAN VP, CHIEF HR OFFICER-MMC 246889 0 74403 0 1377 0 12336 0 23893 0 358898 0 0 0 JONATHAN P TANGO VP OPERATIONS - MMCSC 202103 0 38080 0 3251 0 19860 0 22873 0 286167 0 0 0 MICHAEL S PERDONI VP OPERATIONS - MMC 172545 0 34290 0 3805 0 14850 0 16590 0 242080 0 0 0 THOMAS HELEOTIS MD VPMA - MMC 413971 0 79688 0 109325 0 93428 0 27284 0 723696 0 77807 0 PHILLIP G PASSES VICE PRESIDENT 357816 0 0 0 2369 0 9114 0 22277 0 391576 0 0 0 SHIRLEY HWANG VICE PRESIDENT 246328 0 60000 0 6791 0 18047 0 16874 0 348040 0 0 0 TARA FORMICA KELLY VICE PRESIDENT 206117 0 47259 0 1161 0 14616 0 24176 0 293329 0 0 0 PATRICIA A MCNAMEE ASST. VP (TERM 12/1/18) 202201 0 9930 0 39866 0 14275 0 1013 0 267285 0 0 0 ANDREW HARRISON MD PHYSICIAN 249864 0 0 0 0 0 0 0 0 0 249864 0 0 0 MICHAEL MIMOSO FORMER OFFICER 0 443266 0 171844 0 35942 0 212633 0 24703 0 888388 0 0 GERALD L TOFANI CPA FORMER OFFICER 0 238523 0 74250 0 224100 0 19830 0 10301 0 567004 0 0 TODD EUGENE PHILLIPS MD FORMER KEY EMPLOYEE 0 378209 0 47186 0 15020 0 14210 0 10722 0 465347 0 0 MICHELE H SCHWEERS FORMER OFFICER 0 178196 0 57000 0 1487 0 17915 0 26471 0 281069 0 0 SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $235,890 AND THOMAS HELEOTIS, M.D., $77,807. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GERALD L. TOFANI, CPA, $60,638. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AN AMOUNT REPORTED ON A FORM W-2 ISSUED BY FIDELITY INVESTMENTS INSTITUTIONAL OPERATIONS CO., THE EMPLOYER'S THIRD PARTY ADMINISTRATOR OF THE ORGANIZATION'S LIFESTYLE DEFERRED PLAN ("LIFESTYLE DEFERRED"). EACH PARTICIPANT IN THE LIFESTYLE DEFERRED MAY AUTHORIZE THE EMPLOYER TO REDUCE HIS/HER FUTURE COMPENSATION BY AN AMOUNT AND TO HAVE A CORRESPONDING AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT(S). THE AMOUNT OUTLINED HEREIN WAS REPORTED ON HIS 2018 FIDELITY INVESTMENTS FORM W-2 AND INCLUDED IN THE SCHEDULE J, PART II, COLUMN E, TOTAL COMPENSATION COLUMN, WHICH REPRESENTS A DISTRIBUTION FROM HIS LIFESTYLE DEFERRED ACCOUNT MONIES WHICH FUNDS WERE SUBJECT TO THE ORGANIZATION'S GENERAL CREDITORS: GERALD L. TOFANI, CPA, $55,844. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM S. ARNOLD, $162,074; ERIC W. CARNEY, $74,700; JOANNA P. ZIMMERMAN, $40,263; DEANNA SPERLING, $96,000; FRANK J. VOZOS, M.D., FACS, $179,400; THOMAS HELEOTIS, M.D., $75,703 AND MICHAEL MIMOSO, $200,258. CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $235,890 AND THOMAS HELEOTIS, M.D., $77,807. SICILIANO LANDSCAPING COMPANY - TRUSTEE 141450 LANDSCAPING SERVICES false FROMKIN BROTHERS INC COMPANY - TRUSTEE 488315 CONTRACTOR SERVICES false ERIN CARLY WINKELS FAMILY MEMBER - KEY EE 86709 MONMOUTH MED. CTR. EMPLOYEE false PINE BELT ENTERPRISES INC COMPANY - TRUSTEES 170355 VEHICLE SERVICES false SCHEDULE L, PART IV KAREN M. SICILIANO A TRUSTEE OF THE ORGANIZATION FROM 1/1/2018 - 5/1/2018. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HER COMPANY, SICILIANO LANDSCAPING, DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO SICILIANO LANDSCAPING AMOUNTED TO $141,450 in 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. DAVID SICKEL AND ROBERT SICKEL ARE TRUSTEES OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF THEIR COMPANY, PINE BELT ENTERPRISES, INC., DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO PINE BELT ENTERPRISES, INC. AMOUNTED TO $170,355 in 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GREGORY FROMKIN A TRUSTEE OF THE ORGANIZATION FROM 1/1/2018 - 5/1/2018. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HIS COMPANY, FROMKIN BROTHERS, INC., DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO FROMKIN BROTHERS, INC. AMOUNTED TO $488,315 IN 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Monmouth Medical Center ("MMC"), a RWJBarnabas Health ("rwjbh") facility, is one of the largest teaching hospitals in New Jersey and is a teaching affiliate of Rutgers Robert Wood Johnson Medical School in New Brunswick. This affiliation has allowed MMC to meet their goal of educating current and future healthcare providers in a state-of-the-art environment. MMC is located in Monmouth County along the coast of New Jersey making it another tourist destination in the summer months. It is the states fifth most populous county. The county saw a slight population decrease from the 2010 Census (630,380) to the 2018 Census (621,354 a .6% decrease) after seeing growth the previous decade. The county is ranked as the fifth-highest per capita personal income in the state at $69,410 and ranked 38th in the country. Monmouth Medical Center is a general acute care hospital recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. On May 1, 2014, Kimball Medical Center ("KMC"), a non-profit corporation, merged with and into MMC, so that the two facilities would be under common ownership to better coordinate health delivery for a shared service area. The separate existence of KMC ceased and MMC continues as the "surviving corporation." Following the merger, MMC, as the surviving corporation, operates two separately licensed hospital facilities, MMC, located in Long Branch, NJ and the former KMC facility, which now operates under its new name, Monmouth Medical Center - Southern Campus ("MMC-SC"), located in Lakewood, Ocean County, NJ. Pursuant to its charitable purposes, MMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, MMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. MMC provides medically necessary healthcare services at both its hospital campuses to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. MMCs campuses operate active emergency departments for all persons that are open 24 hours a day, 7 days a week, 365 days per year; 3. MMCs maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of MMC and its hospital campuses rests with the MMC Board of Trustees and the Board of Trustees of RWJ Barnabas Health, Inc., both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of MMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital with its two campuses, provides substantial community benefit. Further, the use and control of MMC is demonstrated to be for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. MMC's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of RWJBARNABS HEALTH; an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. MMC, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit health care organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other health care related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey department of health without charge or at amounts less than established rates. RWJBH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes: 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of Barnabas Health and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform healthcare in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== MMCs vision, as a part of RWJBarnabas Health, is to be a leader in designing unparalleled new ways for delivering healthcare. MMC provides quality-driven, safe, efficient, cost-effective and responsive health care services that meet the needs and exceed the expectations of our community. Our mission is: - to meet the healthcare needs of our community by providing cost-effective quality care; - to educate present and future generations of healthcare providers; and - to provide a continuum of regional tertiary care. The hospitals strategic focus includes embracing and responding to emerging models of healthcare; developing a robust wellness program to improve the health of the people served; increasing geographic access; providing cutting edge technology; offering exceptional patient experience; and being a best place to work. Hospital Statistical Information ================================ For over 125 years, MMC has been a leader in central New Jersey providing the best in healthcare and the latest in medical technology to the nearly one million residents that comprise its service area of Monmouth County, and portions of Ocean and Middlesex Counties. MMC is one of New Jersey's largest teaching hospitals and a teaching affiliate of Rutgers Robert Wood Johnson Medical School. MMC is a 514-bed non-profit, regional tertiary care teaching hospital located in Long Branch, Monmouth County, New Jersey. The institution provides a full spectrum of services, serving the lifespan ranging from high-risk neonatology to geriatric care. Admissions total nearly 23,000 annually, including nearly 5,400 births, and approximately 50,000 emergency visits, nearly 120,000 outpatient visits in 2018. MMC serves a diverse community with over 23% of its patients comprised of minority groups and approximately 41% of patients in underinsured and uninsured payer groups. Medicare represents an additional 21% of patients served. MMC-SC is a 241-bed fully accredited non-profit acute care hospital dedicated to providing the finest medical and healthcare services to the residents of Ocean County and the surrounding areas. MMC-SC is located in Lakewood, Ocean County, New Jersey. MMC-SC serves a diverse urban population including a proportionately higher mix of elderly and uninsured/underinsured communities. During 2018, MMC-SC serviced over 6,000 inpatients, nearly 32,000 emergency visits and over 28,000 outpatient and ancillary test visits. Over 30% of patients are minority and approximately 41% were of underinsured or charity/self-pay categories. Medicare comprises an additional 47% of patients payer classification. Accomplishments/Milestones/Recognitions/Awards ============================================== MMC Campus ---------- MMC is accredited by the joint commission under the hospital accreditation standards and behavioral health standards and is the recipient of numerous awards and honors including, but not limited to, the following: - The only hospital in New Jersey named one of the nation's 100 Top Hospitals by IBM Watson Health, which uses independent research to analyze hospital and health system performance. MMC was among just 25 recognized in the teaching hospital category. - The first hospital in the country to earn platinum status from the Bloom Foundation. This Colorado-based foundation is the accrediting body and national authority for the Maternal Mental Health Friendly Initiative in the United States. - Continually earns the highest score of "A" for safety, quality and efficiency from the Leapfrog Group, a national watchdog organization focused on healthcare safety and quality, and recently earned its ninth consecutive A grade. - Recognized as Leapfrog Group Top Teaching Hospital, one of only 53 U.S. hospitals recognized as a Top Teaching Hospital. - Recognized by the Leapfrog Group for fully meeting their quality and safety standards on three key maternity metrics; cesarean section, episiotomy and early elective delivery rates. Only eight hospitals in New Jersey achieved this accomplishment. - Named to Becker's Healthcare's "100 Hospitals and Health Systems with Great Women's Health Programs" list. - Named a 2018 Leader in LGBTQ Healthcare Equality by the HRC Foundation. - Accreditation from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program for exceptional patient outcomes in weight loss surgery. - Joint Commission Disease-Specific Certifications in Stroke, Hip Replacement, Knee Replacement, Spine Surgery and Breast Cancer. - One 1 of 9 "Institute for Healthcare Improvement" Mentor Sites for Heart Failure. - Cardiac and Pulmonary Rehab programs are certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. - Received the Gold Star Plus Award from the American Heart Association's Get With the Guidelines Performance Achievement Award for 2018. - The Leon Hess Cancer Center attained American College of Surgeons Commission on Cancer Accreditation with silver commendation. - Named to the American Hospital Associations Most Wired list. - An institute for health care improvement "mentor hospital status" for care of the heart failure patient. - Certified quality breast center of excellence - the highest certification level offered by the national quality measures for breast centers (NQMBC). - Designated a breast imaging center of excellence by the American College of Radiology's (ACR) commission on quality and safety and the commission on breast imaging. Additionally, the Wilentz center is the first facility in New Jersey and just the 20th in the nation to earn ACR's gold seal accreditation for breast MRI and also holds ACR accreditation for mammography, breast ultrasound and stereotactic breast biopsy. - Designated a primary stroke center by the New Jersey Department of Health. - Designated as an official Childrens Hospital for Monmouth and Ocean counties and a member of the National Association of Childrens Hospitals and Related Institutions. - Designated as a NICHE (nurses improving care for health system elders) hospital. - Intersocietal commission for the accreditation of echocardiography laboratories for cardiac non-invasive, adult transesophageal, adult transthoracic, and adult stress. - College of American Pathologists accredited for laboratory and pathology services. - American Association of Blood Banks for laboratory transfusion services. - American College of Radiology for breast MRI, general MRI, CT, diagnostic ultrasound, breast imaging center of excellence, mammography, and stereotactic breast biopsy. - American Academy of Sleep Medicine accredited for sleep disturbance services. - Get with the GuidelinesHeart Failure Gold Plus quality achievement award from the American Heart Association; heart failure honor roll; and AHA/ASA/TIC primary stroke certification. - MMC is one of only eight cystic fibrosis ("CF") centers in the state and has earned a prestigious distinction as a comprehensive CF center. It is the oldest and largest of the centers in New Jersey. - Based on its outstanding cardiac outcomes, invited by Yale University/Yale-New Haven Health Services Corporations Center for Outcomes Research and Evaluation (CORE) to participate in a research study to promote hospital-level quality improvement efforts. CORE chose MMC based on several factors, including volume of heart failure patients, exemplary 30-day readmission and mortality outcome and patient case mix. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC Campus ------------- MMC-SCs Lakewood campus is accredited by the Joint Commission and has also been recognized with distinguished awards for clinical excellence including, but not limited to, the following: - Four-star rating from the Center's for Medicare & Medicaid Services (CMS) - the highest hospital rating in New Jersey. - Successful hospital re-accreditation with the Joint Commission in April 2018. - Joint Commission Disease-Specific Care Certification for Heart Failure Recertified in November of 2017. - Successful re-accreditation with the College of American Pathology (February 2018), American Association of Blood Banks (March 2018), and Intersocietal Accreditation Commission in Echocardiography (April 2017) in Adult Transthoracic and Adult Transesophageal Echocardiography. - Accreditation by American College of Radiology in Ultrasound, MRI, and Nuclear Medicine - accredited 2016 through 2019; CT services - accredited in 2017 through 2020. - NJ Sharing Network Platinum Level Recognition for increasing enrollment in the NJ state donor registry and spreading the life-saving message of organ and tissue donation. - Recognition as a "Most Wired" hospital by the American Hospital Association. - Designation as a NICHE (Nurses Improving Care for Healthsystem Elders) hospital. MMC Centers of Excellence ========================= MMC Campus MMC's recognized medical services centers of excellence include, but are not limited to, the following: 1. The Unterberg Children's Hospital at MMC ("Children's Hospital") The Childrens Hospital offers the community renowned medical expertise in the care of children that only a leading academic medical center can provide. The Childrens Hospital has 140 pediatric specialists who concentrate oin 26 fields of medicine. The organization provides specialized pediatric care, offering a 54-bed regional perinatal center with level iii neonatal intensive care unit, the region's only program in children's crisis intervention services and subspecialty pediatric care in areas such as cardiology, gastroenterology, surgery, and orthopedics. In addition, a host of outpatient services for children are offered, including: a pediatric neurology program, pediatric medical day stay unit, the regional cleft palate center, and a pediatric subspecialty center in Ocean County for children who require specialty care in the areas of gastroenterology, endocrinology and pulmonology. 2. Psychiatric centers/program MMC has the largest psychiatric program in Monmouth County, with a total of 44 beds within voluntary and involuntary adult inpatient units and 19 beds in its inpatient children's crisis intervention service, where children and adolescents with acute emotional, behavioral or psychiatric problems are treated. In addition, its psychiatric emergency screening service ("PESS") is the state-designated service for Monmouth County. MMC also offers partial hospitalization, intensive outpatient programs, traditional outpatient care and an early intervention support services program ("EISS"). 3. The Jacqueline M. Wilentz Comprehensive Breast Center Committed to meeting the breast healthcare needs of all women, the breast center is the region's leader in providing the most advanced array of breast health services through a multidisciplinary team dedicated to the breast health needs of all women. MMC provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. MMC takes a coordinated approach to breast care, including both well care and cancer care. MMC is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of MMCs services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups, breast conservation surgery and patient navigators. These qualified experts represent many medical disciplines, working together to provide women with diagnostic, treatment, surgical, psychosocial support, and education and rehabilitation services. MMC's state-of-the-art facility offers the latest in medical equipment, technology and services, including: - Annual physical breast examinations, mammography and diagnostic service, headed by a dedicated breast radiologist who oversees a staff of highly trained technologists; - consultations and second opinions (surgery, medical oncology, pathology, mammography, plastic surgery and radiation therapy), breast cancer high risk program, stereotactic biopsy system, tomosynthesis, computer-aided detection ("ICAD") mammography, breast-specific gamma imaging, breast MRI, automated whole-breast ultrasound, high-resolution breast ultrasound, ultrasound-guided fine-needle biopsy, DEXA scanning, clinical research and a breast information center; and - Satellite locations in Colts Neck, Howell and Lakewood to offer women convenient access to screening and diagnostic mammography, breast ultrasound, genetic testing and bone density testing. 4. Leon Hess Cancer Center MMC stands at the forefront of providing the most extensive array of highly advanced cancer services, delivered by a multidisciplinary team of specialists in a caring and supportive environment. For decades, MMCs leadership role in oncology services has been broadened through the ongoing expansion of state-of-the-art programs, and technologies offered in all areas of cancer prevention, detection and treatment. The Leon Hess Cancer Center at MMC brings together a host of specialists and a vast array of services under one roof, making care more convenient, efficient, and effective. It features comprehensive multidisciplinary medical services that are led by teams of major physician specialists including medical, surgical and radiation oncology. Together, these cancer specialists, in consultation with each patients primary care physician and in conjunction with the hospitals cancer care management team, work to create the most appropriate and effective plan of treatment. MMC is accredited at the highest designation by the Commission on Cancer of the American College of Surgeons as a "teaching hospital and cancer center". 5. The Cranmer Ambulatory Surgery Center The center provides a full spectrum of same-day surgical services using the most modern technology available. The facility includes four full-service operating rooms, three minor procedure rooms and a three-tiered graduated recovery area, respecting the individual needs of adult and pediatric patients. The one-story, 19,000-square-foot building is equipped to perform all types of same-day surgical procedures, including arthroscopic, laparoscopic and laser techniques. Every aspect of the center has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. 6. The Eisenberg Family Center MMC delivers nearly 5,500 babies annually - the most in Monmouth and Ocean Counties and has built one of the safest obstetrical programs in the nation, maintaining one of the lowest C-section rates in the nation. The vast majority of the more than 50 obstetrician/gynecologists who serve as attending physicians on MMCs medical staff are board certified or eligible in the discipline. Many also hold certification in such specialties as maternal-fetal medicine (perinatology), reproductive endocrinology and infertility, uro-gynecology and gynecologic oncology. In addition, MMC's skilled and dedicated nursing staff is trained to assist mothers and their childbirth partners during labor and delivery and to instruct new parents and other family members in newborn care. 7. The Valerie Fund Children's Center for Cancer and Blood Disorders The center provides comprehensive medical services to children with childhood cancers such as leukemia, lymphomas and neuroblastomas, and blood disorders such as sickle cell anemia and white cell abnormalities. Children and young adults (birth to 21 years of age) with leukemia and other cancers are treated according to the most advanced therapeutic protocols. Patients receive treatment on an outpatient basis from a team of specialists, including pediatric hematologists/oncologists, surgeons, radiologists, nurses, social workers, counselors, and child life specialists. Among the valerieValerie fund's services is red blood cell apheresis - a sophisticated exchange/transfusion of red blood cells for patients with sickle cell disease. MMC is one of eight hospitals in the tri-state area that is part of the Valerie Fund, one of the largest and most advanced pediatric oncology/hematology networks in the country. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 8. Robotic Surgery Program MMC created the regions first robotic surgery program with the Da Vinci S surgical system. The system combines computer and robotic technologies with the skills of MMCs surgeons to create a new category of surgical treatment, making it possible to perform more technically demanding surgeries, such as prostatectomy, using a minimally invasive approach. MMC offers robotic surgery for the removal of a variety of cancerous tumors as well as for benign conditions. The robotic surgery system offers patients better outcomes, less pain, less scarring, less blood loss, shorter hospital stays and a quicker return to normal activities than conventional surgery. First hospital in Central and Southern New Jersey to introduce Mako robotic-assisted total and partial knee and hip replacement surgery. Mako surgery is performed using a surgeon-controlled robotic arm system that enables accurate alignment and placement of implants. MMC-SC Campus MMC-SC's recognized medical services and centers of excellence include, but are not limited to, the following: 1. The James & Sharon Maida Geriatrics Institute MMC-SC has long been a leader in geriatric medicine, which specifically addresses the unique care needs of older adults. Our one-of-a-kind James and Sharon Maida Geriatrics Institute provides integrated inpatient and outpatient geriatric services for patients 65 and older in one convenient location. In addition, our geriatricians - physicians specializing in the medical care of the elderly - have a full understanding of the wide range of physical, mental, medical, social, and spiritual issues that older adults can face. With our many interlinked services, the experts at the geriatrics institute provide individualized care recommendations to ensure that patients receive the special care they require, without interfering with their independence. And our geriatric team works closely with you or your loved ones primary care physician to make sure that all patient and family needs are met. With the expert treatment available at our state-of-the-art outpatient practice, older adults can live the fullest life possible. Our multi-disciplinary team also including nurses, social workers, nutritionists, pharmacists, health educators, physical therapists, occupational therapists, speech therapists and audiologists, all who specialize in the care of seniors and are available to accommodate the needs of patients as they transition from inpatient to outpatient care. Complementing the geriatrics institute are the geriatric emergency medicine (gem) unit, created to meet the more complex needs of seniors in emergency care, the acute care for elders (ace) unit, an inpatient unit utilizing an interdisciplinary approach to collaboratively develop a patient-centered care plan, and the better health program, which offers courses and more to men and women 55 and older who want to improve their health and well-being. 2. The emergency department at MMC-SC The emergency department treats approximately 32,000 patients annually, utilizing the latest in cardiac monitoring equipment, including special rooms for trauma, orthopedics, ear/nose/throat, obstetrics/gynecology, pediatrics, suturing and psychiatric emergencies. The main emergency department includes 30 treatment bays and has revolutionized how patients are treated in modern healthcare settings by expediting the process which patients must undergo prior to receiving medical treatment. The staff is focused on respecting the individual needs of all adult and pediatric patients. MMC-SC is a state-designated primary stroke center and Joint Commission certified chest pain center and has Ocean County's only psychiatric emergency screening program. MMC-SCs pediatric emergency services program is staffed full time by highly experienced, board-certified emergency medicine physicians with access to pediatric consultations 24 hours a day with on-site double board certified neonatologists/pediatricians and an on-call board certified pediatrician. When necessary, consultations with pediatric subspecialists are coordinated with the medical staff at the Unterberg Childrens Hospital at MMC. Additionally, infants and children requiring more specialized care are transported to the Childrens Hospital, if and when necessary. MMC-SCs child-friendly pediatric-designated treatment area in the emergency department offers a pediatric playroom with games, toys and books and colorfully decorated treatment rooms equipped with TV and DVD player. Every aspect of MMC-SCs emergency department has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. This has led to numerous recognitions and awards for patient satisfaction and quality medical care, including exceptional turnaround time. 3. The Center for Wound Healing The Wound Care Center at MMC-SC provides diagnosis, treatment and healing of chronic and hard-to-heal wounds caused by a variety of medical conditions including diabetes, trauma, poor circulation, bedridden, surgical complications, vascular diseases, etc. The center for wound healing and hyperbaric medicine applies proven wound care practices and advanced clinical approaches including hyperbaric oxygen therapy to help heal patients suffering from chronic wounds. Additionally, our center frequently participates in clinical trials utilizing the latest wound care products available. 4. Psychiatric Centers/Program MMC-SC has the largest psychiatric program in Ocean County, with a total of 60 beds within voluntary and involuntary adult inpatient units located in a free-standing facility in Toms River, NJ. In addition, its psychiatric emergency screening service ("PESS") is the state-designated service for Ocean County. MMC-SC also offers intensive outpatient programs and traditional outpatient care. Medical and community services ============================== MMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. Additional medical services --------------------------- MMC offers many specialized programs including robotic surgery, minimally invasive surgery, regional perinatal center, sleep center, hyperbaric treatment, and integrative medicine. MMC provides comprehensive behavioral health services including psychiatric emergency services, mobile outreach, children's crisis intervention and intensive outpatient services. Medical staff ============= Consistent with revenue ruling 69-545 all qualified physicians are eligible for medical staff privileges at MMC. MMC had nearly 1,000 physicians on its medical staff in 2018 and other health professionals, comprised of the following specialties: - adult psychiatry; - allergy, med.; - allergy, ped.; - anatomic & clinical, path; - anesthesiology; - cardiology, med.; - cardiology, ped.; - child development, ped.; - child psychiatry; - colon & rectal surgery; - critical care, ped.; - dentistry, out; - dermatology, med.; - emergency medicine; - endocrinology, med.; - endocrinology, ped.; - endodontics, outpt dent; - endoscopy, med.; - family practice; - foot & ankle; - gastroenterology, med.; - gastroenterology, ped.; - general dent, inpt dent; - general dent, outpt dent; - general pediatrics; - general surgery; - general/sports; - geriatrics; - gynecologic oncology; - hand surgery; - hand/sports; - hematology/oncology, med.; - hematology/oncology, ped.; - hospitalist; - infectious disease, med.; - infectious diseases, ped.; - internal medicine; - joints; - joints/sports; - maternal fetal med.; - medical genetics, ped.; - neonatology; - nephology, ped.; - nephrology; - neurology; - neurology, ped.; - neurosurgery; - ob/gyn; - ophthalmology; - oral surgery, inpt dent; - orthodontics, outpt dent; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - pediatric surgery; - pediatric, inpt dent; - peds; - periodontics, outpt dent; - physical med. & rehab.; - plastic & recon. Surgery; - podiatric medicine; - prosthodontics/outpt dent; - psychiatry; - psychiatry & neurology; - pulmonary med.; - pulmonary, ped.; - radiation oncology; - radiology; - reproductive endo & infert.; - reproductive endocrinology; - rheumatology, med.; - spine; - sports; - thoracic surgery; - total joints; - urogynecology; - urology; and - vascular surgery. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC had approximately 430 physicians on its medical staff during 2018 comprised of the following specialties: - allergy/immunology; - anesthesiology; - cardiology; - colon-rectal surgery; - dentistry; - dermatology; - emergency medicine; - endocrinology, diabetes & metabolism; - family practice; - gastroenterology; - general surgery; - geriatrics; - gynecology; - hematology/oncology; - infectious disease; - internal medicine; - internal medicine/pediatrics; - nephrology; - neurology; - neurosurgery; - ophthalmology; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - physical medicine/rehab; - plastic surgery; - podiatry; - psychiatry; - pulmonary medicine; - pulmonology/critical care; - radiation oncology; - radiology; - repro endo; - rheumatology; - thoracic surgery; - urology; and - vascular surgery. MMC community service centers ============================= MMC Campus MMC is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. MMC operates the department of community health & wellness, which is designed to promote health and health awareness for the community. The department of community health & wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, MMC's department of community health education has developed multiple programs to assist the community in fulfilling their health goals. Community Partnerships ====================== 1. Cancer Support Community ("CSC") is a program run in partnership with MMC and MMC-SC. CSC is an international non-profit organization whose mission is to support the myriad concerns of individuals affected by cancer. Partnering with MMC in 2014, CSC currently holds supportive and educational programs in long branch and Lakewood. All programs are free of charge to anyone affected by a cancer diagnosis: patients, caregivers, and family members, no matter where treatment has been received. 2. MMC and Social Community Activities Network partner on services for active adult community. For more than 25 years, MMC has partnered with the social community activities network ("SCAN") (formerly the senior community activities network), located in the Monmouth Mall in Eatontown, in service to the active adult community. Like SCAN, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "healthy, wealthy & wise,", MMC believes that "life is better healthyis dedicated to helping seniors live healthy lifestyles. Throughout the year, MMC provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which MMC advertises monthly in the community health education calendar, focuses on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. MMC offers workshops to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. The evidence-based workshops teach individuals how to: - breast cancer awareness; - boost your memory; - first aid for seniors; - improve balance; - improving social relationships in older adulthood; - navigating a hospital stay; - skin cancer awareness; AND - stress management. 3. Safe Kids Monmouth/Ocean is led by MMC and MMC-SC, which provides safety education to children, parents and caregivers to prevent childhood injuries. It is a chapter of safe kids New Jersey and Safe Kids worldwide, a global organization dedicated to preventing injuries in children. 4. MMC regularly collaborates with local law enforcement and government officials on emergency preparedness drills. 5. MMCs community partnerships include Monmouth Family Health Center, Ronald McDonald House, New Jersey community work experience program, family and childrens services, Long Branch public school district, Long Branch schools work study program, shaping Long Branch coalition, 21st century after school program, Long Branch Ministerium, Monmouth University field experience and the national council on aging. 6. MMC regularly hosts meetings between mayors and council members from local towns and the hospital's senior leadership, physicians, members of the board of trustees, Long Branch advisory council, patient family advisory council and employees to discuss community needs and the importance of working together as partners to promote healthy communities. 7. In addition to providing comfort to adult and pediatric patients, MMCs freed therapeutic paws program - thriving pet therapy program offers a scholarship program to pay for training of therapy dogs. MMC-SC campus MMC-SC in Lakewood is equally committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. As an RWJBarnabas Health facility, MMC-SC prides itself on recognizing the growing needs of the community and fulfilling those needs by providing new, specialized programs and services. MMC-SC operates the following centers designed to promote health and health awareness for the community. 1. Community Health Education The community health education department at MMC-SC, offers an array of programs designed to keep the community healthy through education and screenings. Among its award winning programs is the caregivers and grandparents raising grandchildren support group facilitated by a licensed clinical social worker to provide counseling and support to anyone caring for a person age 60 or older in Ocean County. Also offered at MMC-SC is an American diabetes association recognized diabetes education and support program which is designed for newly diagnosed diabetes and provides self-management education through an 8-hour program which is divided into four separate 2-hour classes. Participants in all outreach programs experience enhanced physical, emotional and spiritual well-being through individual and group programs in an environment where they can join with others to learn and share experiences, strength and hope. Recognizing the unique needs of the region's aging population, MMC-SC offers healthcare programs that promote healthy lifestyles and enhance seniors' quality of life. Programs are designed to provide older adults with easy and convenient access to a variety of healthcare services in their own community and to encourage them to live independently, confidently and happily. MMC-SC continues to offer a variety of educational, screening and support programs which include diabetes management/support, nutritional counseling, fall prevention and balance testing. Approximately 17,643 individuals participated in medical screenings, support groups and educational programs at MMC-SC in 2018. 2. Better Health - a free wellness program just for seniors MMC-SCs better health program is a free membership program available to seniors who want to improve their health and well-being. The better health program has grown its membership to 2,130 in 2018 since its inception in May 2015. MMC-SC invites people age 55+ to become a member of the better health program to help maintain good health. Members take advantage of many exclusive benefits designed to help take charge of their health and wellness. Aside from taking steps toward living a more productive and fulfilling life, specific benefits include: - advance notice of free screening locations, physician lectures and topics by email; - healthy aging newsletter mailed to homes; - preferred parking in close proximity to entrance of the hospital; - preferred physician scheduling with appointments guaranteed within 48 hours of placing the call; - simplified pre-registration process for laboratory and radiology services resulting in no-wait times; - special visits from a patient resource representative should one be admitted for an overnight stay; and - special calendar for members. Each month better health members are invited to educational lunch and learns that are offered at MMC-SC or, in some cases, brought to the communities in which members live. The lectures are provided by physicians from MMC in long branch and/or MMC-SC in Lakewood or other members of the clinical and educational team. Topics include: - benefits of movement; - getting an a for memory; - healthy nutrition; - how to get the most from your doctors visit; - know your medications (and those of your loved ones); and - stress management. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC provides a variety of community events in or around Lakewood or at senior communities throughout the area that focuses on the four pillars of better health; nutrition, physical activity, and evidenced based health education. Events are unique and enable members to meet new people while improving their health. Medical screenings ================== MMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. MMC served approximately 60,000 individuals in 2018 served via health fairs, screenings, workshops, education, and lectures. Further, multiple organizations are assisted in their fund-raising efforts. Every February, the MMC dental residency program hosts "give kids a smile day" in the Monmouth family health center dental clinic, providing free dental care to children from low-income families who dont have access to regular dental care. Screenings also include, but are not limited to, the following: - balance and fall prevention; - blood pressure; - body mass index - bone density; - breast health/mammograms; - cardiac and concussion for young athletes; - cholesterol; - dietary; - skin cancer (choose your cover); - glucose; - HIV; AND - high-risk lung cancer assessments. Medical screening programs provided by the MMC-SC Lakewood campus in furtherance of its tax-exempt purposes include the following: - balance and fall prevention; - blood pressure screenings; - bone density screenings; - cardiac and concussion testing for young athletes; - glucose screenings; - hearing; - high-risk lung cancer screening assessments; - skin cancer screenings (choose your cover); and - vascular. Community education =================== MMCs and MMC-SCs ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs are advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. MMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Wellness programs/health fairs - blood drives; - go red: heart health event for women; - great American smoke-out informational session; - ladies night out, empowering women to live healthy; - long branch day; pedestrian & bike safety; - mens night out, empowering men to live healthy; - Monmouth family health center wellness and health fair; - national night out against crime - edestrianpedestrian safety; - nutrition and brain fitness fair; - oceanfest; safe kids & health screenings; - Oceanport summers end festival, offering safe child safety info; - police week health & safety information; - strategies for health aging; and - Tinton Falls day pedestrian safety. 2. Various educational sessions - breast cancer awareness; - colon cancer awareness; - conversations with the pharmacist; - choose your cover - free skin cancer screenings and education; - diabetes self-management series; - eye care as we age; - fall prevention; - first aid for seniors; - health information on the internet; - how to get a good nights sleep; - kids fit - 6 week nutritional program for children and parents; - living with Alzheimers disease for the caregiver: late stage; - living well with diabetes; - mindfulness meditation stress reduction; - natural ways to manage depression; - palliative care: what is it and when is it appropriate?; - restorative yoga for cancer survivors; - safe sitter; - seasonal affective disorder (sad); - skin cancer awareness; - total joint replacement information session; - understanding your options for rehab; - updates on cancer screenings; - stroke awareness; - whats in your medicine cabinet; and - your heart and electrical disturbances. 3. Childbirth preparation and parenting programs - Childbirth preparation and parenting programs; - the Eisenberg Family Center tours; - breastfeeding today; - one-day preparation for childbirth; - two-day preparation for childbirth; - baby care basics; - new moms support group; - postpartum depression (ppd)/anxiety support group; - breastfeeding support group; AND - gestational diabetes education program. 4. Support Groups - adult attention deficit disorder (add) support group; - alcoholics anonymous support group; - all recovery support group; - Alzheimers caregivers support group; - bereavement support group; - breast cancer support group; - breast feeding support group; - cancer support community; - caregiver support group; - early-stage breast cancer support group; - ovarian cancer support group; - postpartum depression support group; - us too: prostate cancer support group; - survivors of suicide support group; - weekly cancer support group; and - weight loss support group. 5. MMC's speakers bureau MMC's speakers bureau brings an extensive range of healthcare programs to schools, businesses, faith-based organizations, or community sites such as senior centers, libraries, and health clinics. Our highly training physicians, nurses, and other health professionals share their knowledge on a variety of interesting and stimulating subjects concerning healthcare. The MMC-SC Lakewood campus also offers a full array of wellness programs, including numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Older adults - aging eyes physician lecture; - age-related hearing loss program; - audiology program physician lecture; - balance presentation; - brain health as you age; - brain health fair; - chair yoga; - fall prevention workshop: staying falls free; - five wishes; - health & education program for seniors, out in senior communities; - health screenings for seniors at YMCA open house; - lunch & learn: understanding Medicare & your options for comprehensive coverage; - mindful meditation for seniors; - mobile phlebotomy units to increase access for lab work at senior communities; - osteoporosis lunch and learn; - pilates for seniors; - senior health & fitness day; - staying safe after 60; - tai chi for seniors; - talking with your doctor; - yoga; and - zumba for seniors. 2. Support Groups - alcoholics anonymous; - all cancers support group; - caregiver's support group; - finding rainbows - children & families impacted by a cancer diagnosis; - grandparents raising grandchildren support group; - overeaters Anonymous; - sexaholics AnoymousAnonymous (SA) group; and - smoking cessation support group. 3. Various seminars and physician lectures - basics of diabetes; - breaking down nutrition labels; - coffee and a craft - for those affected by cancer; - colorectal cancer awareness education session; - dont miss a beat; - exploring the web: useful sites for cancer patients - get heart healthy luncheon; - living heart healthy; - living well with diabetes; - living with Alzheimers disease for the caregiver: middle and late stages; - look good feel better by the American Cancer Society; - lunch & learn: heart health; - lung cancer education & screening event; - lunch & learn: under pressure - healing problematic wounds with oxygen; - mens night out, empowering men to live healthy; - skin cancer education and prevention; and - "Take Control of Your Health" - a chronic disease self-management program. 4. Instructional classes and programs - benefits of exercise; - classic yoga, gentle yoga, chair yoga and all levels yoga; - complimentary consults with a registered dietician; - defensive driving, sponsored by the Ocean County department of safety; - diabetes education & self-management 4-week series; - healthease move today program; - lunch & learn: the health benefits of tai chi; - meditation & relaxation; - relaxation & guided imagery; - self-defense & exercise; and - take control of your health program. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Professional medical education and training =========================================== MMC and MMC-SC professional medical education and training costs, included, but were not limited to, the following programs, lectures and courses during 2018: - surgery M&M conference; - breast tumor board; - pediatric grand rounds; - medical tumor board; - neuro tumor board; - othopaedic case review & fracture conference; - GI tumor board; - orthopaedicjournal club; - gyn tumor board; - medical grand rounds MMC; - pediatric tumor board; - end of life part 1; - end of life part 2; - orthopaedic M&M conference; - medical grand rounds MMC-SC; - medical M&M; MMC; - pediatric touchpoints 2017; - management and leadership; - surgical grand rounds; - tools and client relations; - cutting edge 2017; - communication; - execution and project management; - 15th annual advanced em conference; - EMA conference 2017 stroke home study; - EMA 2017 llsa home study; - EMA 2017 trauma home study; - EMA 2017 procedural sedation home study; - 13th annual pediatric symposium - "screening for depression and anxiety in childhood and adolescence"the opioid epidemic, what a pain in the ED - workers compensation talk series: knee and ankle; - team building; - 2017 RWJBarnabas Health quality forum; - advances in breast cancer care: surgery, radiation therapy, reconstruction and surveillance; - change management and public speaking; - talent management and current healthcare; - Post-Operative Complications in Foot and Ankle Surgery - Choosing the Correct Bunion Procedures through Radiographic Evaluations - Dr. Petranto; - Inguinal Hernia Repair - Dr. Michael Jaronczyk; - Colorectal Cancer Screening - Dr. Joel Musicant; - Chronic Pain - Dr. Lina Shihibudin; - Lung Cancer & Emerging Trends - Dr. Sumit Talwar; - Update on New Therapeutics in Clinical Oncology - Dr. Seth Cohen; - Stroke - Basic Management & New Modalities of Treatment - Tele - TPA - Dr. Tejas Deliwala; - Organ & Tissue Donation: The Power to Save Lives - Carolyn Welsh; - Prescription Protocols - Dr. Ted Freeman; - Protocol for Alcohol Withdrawal - Dr. Arnold Williams; - Lung Cancer Awareness: What you need to know - Dr. Andrew Nguyen; - Updates on Medical and Surgical Therapy for Benigh Prostatic Hypertrophy - Parvez Mahmood, MD; - Local Anesthetic Toxicity - Eduard Krishtul, MD; - Hyperbaric Oxygen Therapy: What, Where, How, Who and Why - Johnny Larsen, DO; AND - Opioids - Prescribing, Withdrawal and Medication Assisted Treatment - Jarrett Tosk, MD. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTION 2 DAVID SICKEL AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP. DAVID SICKEL AND ROBERT SICKEL - BUSINESS RELATIONSHIP AND FAMILY RELATIONSHIP. CLAIRE M. KNOPF AND HEYWOOD H. KNOPF - FAMILY RELATIONSHIP. ADAM PFEFFER, ESQ. AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTION 5 Based on allegations communicated to Management, MONMOUTH MEDICAL CENTER ("MMC") determined that funds from the MMC-Medical Staff Office were misappropriated in the form of checks paid to certain employees over a period of time. Upon discovery, the RWJBARNABAS HEALTH ("RWJBH") Internal Audit Department, in consultation with Legal Affairs, launched an immediate investigation. The investigation concluded that $468,566.19 in checks were issued without proper approval and made payable to the now former employees WHICH WAS CONCLUDED IN 2018. There were several corrective actions taken to prevent a similar loss in the future and to safeguard assets. RWJBH continues to cooperate with the investigation. RWJBH submitted an insurance claim to its carrier which resulted in full settlement of the loss plus additional expenses incurred, less deductible. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH'S SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J TODD EUGENE PHILLIPS, M.D. FORMER VICE PRESIDENT OF MEDICAL AFFAIRS OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE VICE PRESIDENT OF MEDICAL AFFAIRS FOR COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHELE H. SCHWEERS, FORMER VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER FOR BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHAEL MIMOSO, FORMER CHIEF EXECUTIVE OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS CHIEF EXECUTIVE OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. GERALD L. TOFANI, CPA, FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER OF OUTPATIENT SERVICES. CORE FORM, PART X; LINE 25 The organization is a member of RWJ Barnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc. and Barnabas Health, Inc. to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a due to related party liability and are reflected on the balance sheets of the following subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART X; LINES 27-29 In August 2016, the FASB issued ASU 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities, which requires not-for-profit entities to revise its financial presentation to include net asset classifications, provide quantitative and qualitative information as to available resources and management of liquidity and liquidity risk and expanded disclosures on functional expenses. The Corporation adopted the new standard as of December 31, 2018 on a retrospective basis. There were no material changes to the consolidated balance sheets, statements of operations, and changes in net assets or cash flows as a result of the adoption. Periods prior to adoption have been displayed to conform to the new presentation of a single classification of net assets with donor restrictions. Previously, the consolidated balance sheets displayed temporarily restricted net assets of $131,468,000 and permanently restricted net assets of $33,494,000. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $466,316; - NET ASSETS RELEASED FROM RESTRICTION - $123,000; - EQUITY TRANSFER FROM MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,188,451; - EQUITY TRANSFER TO MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($517,848); - EQUITY TRANSFER TO HEALTH SOUTH REHAB CENTER - ($30,785); - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $9,117,000; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $30,000; - DISTRIBUTIONS FROM SHREWSBURY DIAGNOSTIC IMAGING, LLC; A LIMITED LIABILITY COMPANY CONTROLLED BY THIS ORGANIZATION - $569,156; - PENSION ADMINISTRATION COSTS - ($815,632); AND - INCREASE IN INVESTMENT OF SHREWSBURY DIAGNOSTIC IMAGING, LLC; A LIMITED LIABILITY COMPANY CONTROLLED BY THIS ORGANIZATION - $9,000. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN rwjBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS MONMOUTH MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND MONMOUTH MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY MONMOUTH MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3452412. BELOW IS A LIST OUTLINING THE VARIOUS MONMOUTH MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. MMC PROVIDER SERVICES 81-4837197 IN ADDITION, THIS FORM 990 INCLUDES THE CURRENT YEAR REVENUE AND EXPENSE ACTIVITY AND YEAR END ASSETS AND LIABILITIES OF BOTH THE MEDICAL STAFFS OF MONMOUTH MEDICAL CENTER AND MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS. BARNABAS BAYONNE DEV URBAN RENEWAL CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 352219655 STAFFING SVCS NJ 501(C)(3) 509(a)(3) SBRDC false BARNABAS HEALTH MEDICAL GROUP PC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223316007 HEALTH SVCS. NJ 501(C)(3) 509(a)(2) RWJ BH false Barnabas Health Inc 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER NJ 08754 223343959 HEALTH SVCS. 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BARNABAS HEALTH, INC., SBC MANAGEMENT CORPORATION AND CENTER STATE HEALTH GROUP, INC.; ALL RELATED ORGANIZATIONS, ROUTINELY TRANSFER FUNDS AND ENGAGE IN BUSINESS ACTIVITIES ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.